Organization
SUPPORTIVE CARE OF HAWAII LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL LICHTSCHEIN (PRESIDENT)
(718) 298-4375
Entity
Organization
Contact information
Practice address
1314 PIIKOI ST APT 203, HONOLULU, HI 96814-1140
(718) 506-1115
Mailing address
27 RANDOLPH RD, HOWELL, NJ 07731-8611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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